Transforming HEDIS Hybrid Medical Record Review Process with MCheck® Clinical
Released on:
Apr 22nd, 2026
Released on:
Apr 22nd, 2026
A leading National Blue Plan partnered with HiLabs to transform its HEDIS Hybrid Medical Record Review (MRR) process using MCheck® Clinical.
The solution enabled rapid scaling from ~200 to over 5,700 charts per day in under a week, while achieving ~99% data accuracy. By replacing manual review with AI-driven automation, the plan redeployed over 330 abstractors and realized more than $2.5M in peak monthly savings, translating to over $5M annually.
HiLabs’ purpose-built platform seamlessly managed unstructured clinical data, delivering structured HEDIS-ready outputs, at scale. The transformation significantly improved operational efficiency, reduced administrative burden, and enhanced quality performance.
This case demonstrates how purpose-built AI can fundamentally reimagine clinical data workflows for health plans. Download now.